HB 831 2023
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hb0831-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to Medicaid recipients with 2
developmental disabilities; creating s. 409.9812, 3
F.S.; requiring the Agency for Health Care 4
Administration to select a qualified long-term care 5
plan to implement the Integrated Plan for Persons with 6
Developmental Disabilities Pilot Program in Miami -Dade 7
County; providing the pilot program's purpose; 8
providing the benefits covered by the pilot program; 9
providing that participation in the pilot program is 10
voluntary and limited to a specified number of 11
enrollees; providing potential participants; providing 12
payment to the selected plan; providing requirements 13
for the plan; providing requirements for financial 14
reports; providing that the plan's pretax income may 15
be subject to certain requirements; providing 16
requirements for services; requiring agency contract 17
for independent evaluation of the plan performance; 18
requiring presentation of such evaluation results to 19
the Legislature by a specified date; providing an 20
effective date. 21
22
Be It Enacted by the Legislature of the State of Florida: 23
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Section 1. Section 409.9812, Florida Statutes, is created 25
HB 831 2023
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
to read: 26
409.9812 Integrated Plan for Persons with Developmental 27
Disabilities Pilot Program.— 28
(1) The agency shall select a single qualified long -term 29
care plan to implement the Integrated Plan for Persons with 30
Developmental Disabilities Pilot Program in Miami -Dade County. 31
The purpose of the pilot program is to provide coverage for 32
comprehensive services for Medicaid recipients who have a 33
developmental disability, as defined in s. 393.063. The 34
comprehensive services coverage includes the benefits described 35
in s. 409.973, the community services described in s. 36
393.066(3), and the long-term care plan benefits described in s. 37
409.98. 38
(2) Participation in the pilot program is voluntary and 39
limited to the maximum number of enrollees specified in the 40
General Appropriations Act. Potential participants will be 41
identified from individual s on the waiting list for the 42
Individual Budget (iBudget) Waiver services. 43
(3) The selected qualified long -term care plan will be 44
paid a risk-adjusted capitation rate. The plan must: 45
(a) Be a provider service network whose owners include 46
licensed health care providers with experience serving iBudget 47
Waiver recipients. 48
(b) Provide all categories of benefits through a single, 49
integrated model of care. 50
HB 831 2023
CODING: Words stricken are deletions; words underlined are additions.
hb0831-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
(4) Periodic financial reports from the selected qualified 51
long-term care plan must document revenues and expenditures 52
related to the pilot program. The plan's pretax income may be 53
subject to the income sharing ratios established in s. 54
409.967(3)(f). 55
(5) The selected qualified long -term care plan's services 56
must be provided to enrollees in accordance wi th an 57
individualized care plan that is evaluated and updated at least 58
quarterly or as warranted by changes in conditions and 59
circumstances. 60
(6) The agency shall contract for an independent 61
evaluation of the performance of the selected qualified long -62
term care plan based on specific measures of access, quality, 63
and cost. The results of the evaluation shall be presented to 64
the Legislature by October 31, 2024. 65
Section 2. This act shall take effect July 1, 2023. 66